Intensive Care Admission and Early Neuro-Rehabilitation. Lessons for COVID-19?

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_CB441573F84B
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Intensive Care Admission and Early Neuro-Rehabilitation. Lessons for COVID-19?
Journal
Frontiers in neurology
Author(s)
Pincherle A. (co-first), Jöhr J. (co-first), Pancini L., Leocani L., Dalla Vecchia L., Ryvlin P., Schiff N.D., Diserens K.
ISSN
1664-2295 (Print)
ISSN-L
1664-2295
Publication state
Published
Issued date
2020
Peer-reviewed
Oui
Volume
11
Pages
880
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Abstract
Coronavirus disease 2019 (COVID-19) requires admission to intensive care (ICU) for the management of acute respiratory distress syndrome in about 5% of cases. Although our understanding of COVID-19 is still incomplete, a growing body of evidence is indicating potential direct deleterious effects on the central and peripheral nervous systems. Indeed, complex and long-lasting physical, cognitive, and functional impairments have often been observed after COVID-19. Early (defined as during and immediately after ICU discharge) rehabilitative interventions are fundamental for reducing the neurological burden of a disease that already heavily affects lung function with pulmonary fibrosis as a possible long-term consequence. In addition, ameliorating neuromuscular weakness with early rehabilitation would improve the efficiency of respiratory function as respiratory muscle atrophy worsens lung capacity. This review briefly summarizes the polymorphic burden of COVID-19 and addresses possible early interventions that could minimize the neurological and systemic impact. In fact, the benefits of early multidisciplinary rehabilitation after an ICU stay have been shown to be advantageous in several clinical conditions making an early rehabilitative approach generalizable and desirable to physicians from a wide range of different specialties.
Keywords
COVID-19, ICU, early rehabilitation, immobilization, mechanical ventilation, neurological complications
Pubmed
Web of science
Open Access
Yes
Create date
05/10/2020 14:21
Last modification date
30/04/2021 7:14
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